Vice President Payment Integrity and Verification Solutions

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary The VP, Payment Integrity and Verification Solutions is responsible for developing high quality business strategies and operational plans ensuring alignment with Gainwell short-term and long-term objectives for the solution offering. Partnering with product management, and leading delivery operations and business activities to ensure they produce the desired results and are consistent with the overall product line goals driving revenue growth, margin expansion and client satisfaction. The VP should be able to lead and motivate team members to advance employee engagement, develop a high performing managerial team along with partnering cross functionally with broader organization such as Finance, Account Management, Sales and Engineering. Your role in our mission • Payment Analytics, FraudCapture, Credit Balance, Long Term Care, and Verification Solutions (dependent eligibility, residency verification, and community engagement verification). • Partner with product organization on product development strategy and leading delivery execution within PI and verification solutions portfolios. • Partner with product organization to ensure appropriate product roadmap and collateral documentation is available supporting PI and verification solutions products and communicating product strategy to the organization. • Co-Develops appropriate business cases with product organization to obtain funding necessary for new product development. • Responsible for developing, managing and attaining revenue and expense budget goals. • Manages overall product portfolio integration to the recurring revenue budgeting and forecasting process. • Responsible for systems that identify and mitigate opportunities/risks to the PI and verification solutions revenue portfolio. • Advanced financial analysis and forecasting techniques to project and optimize revenue. • Tracking of opportunities for product expansion and measures product yield in support of annual product revenue expansion targets. • Lead operations team on demand and capacity planning, and assuring compliance with client SLAs and contract requirements. • Oversee reviews of RFPs and new business proposals to assure they meet appropriate guidelines for strategic fit as well as implementation, operational and financial success. • Improves product quality through a structured process of defect identification, root cause analysis, and corrective action project management. • Improves internal product and operational processes through deployment of Lean or other continuous quality improvement methodologies and principles. • Partner with implementation team accountable for solution architecture and project management of new implementations. • Participates with Solution Area Leader in communicating product strategy, financial results, operational status and quality/compliance issues to company leadership. • Leads PI and verification product teams by developing an environment of engagement and participation by all team members through regular communication and recognition. • Directs development and training of leadership skills within the team to assist team members in increasing their skill sets, developing bench strength and appropriate success plans. What We're Looking For • Bachelor’s degree in business field is required. Master's degree in business or related field is preferred • At least fifteen years of gradually increasing product, finance and/or operational leadership experience • Experience working within the healthcare industry required, experience with Medicaid, payment integrity and verification solutions strongly preferred What You Should Expect In This Role • This opportunity is 100% remote with the opportunity to travel up to 25% annually. The deadline to submit applications for this posting is December 12, 2025. The pay range for this position is $160,000.00 - $228,600.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Apply tot his job